GESTATIONAL SYPHILIS IN THE MOST POPULOUS CITIES IN TOCANTINS, 2009-2018: RISK FACTORS AND EPIDEMIOLOGICAL SURVEILLANCE.

Abstract

Objective: To compare the clinical-epidemiological profile of gestational syphilis in the most populous municipalities in Tocantins, from 2009 to 2018. Methods: Cross-sectional and retrospective study, carried out with data from the municipalities of Araguaí­na, Gurupi, Palmas, Paraí­so do Tocantins and Porto Nacional, provided by the Ministry of Health through the Informatics Department of the Brazilian Unified Health System and analyzed by descriptive and statistical analysis. Results: An increasing incidence rate was observed in all locations from 2016 onwards. Pregnant women were diagnosed late, mostly in the 2nd and 3rd trimesters. Palmas had the highest notification of latent syphilis (55.57%). The risk factors identified were: mulato and age group between 20-29 years old, the predominant schooling diverged between the municipalities. Gestational age (p <0.0001), education (p = 0.003) and clinical classification (p = 0.024) were statistically significant variables. Conclusions: There were possible failures in prenatal care, in the execution of clinical protocols and in filling out the Notification forms. Keywords: Syphilis. Epidemiological Monitoring. Pregnancy. Prenatal care.